Compliance Director

Job Description

Job Description

NOTE: Please submit current resume and cover letter.

Summary:
The Compliance Director oversees and ensures enterprise compliance with applicable state and federal laws, regulations, policies, contractual obligations, and ethical requirements. This is a leadership role that requires independent judgment, proactive monitoring, and the ability to influence across the organization. The Compliance Director is responsible for implementing and managing NCCHCA and CMHN’s compliance programs, including developing and maintaining policies, conducting training, and maintaining processes to support ongoing adherence to requirements. In addition, the Compliance Director performs compliance assessments, assists with the creation of an annual work plan, and provides guidance on compliance matters both internally and externally as part of a formal member/owner advisory service line for NCCHCA members and CMHN owners. The Compliance Director has authority to access relevant records, systems, and personnel as needed to evaluate compliance concerns; to escalate issues promptly; and to report compliance matters independently to the Chief Executive Officer and/or Board of Directors as appropriate. The Compliance Director works alongside senior leaders, external government agencies and parties, and legal counsel.

Minimum Qualifications ( Degrees/Certificates):  

• Holds a bachelor’s degree in Business Administration, Healthcare Administration, or a related field; Master’s Degree preferred.
• A minimum of 3-5 years of experience in healthcare compliance is required; a certification in Healthcare Compliance (CHC) or Compliance and Ethics Professional (CCEP) is preferred.
• Possesses proficiency in the use of compliance data analysis tools and techniques.

Minimum Skill Qualifications: 

• Strong Communication: Effectively communicate with employees, leadership, and external stakeholders.
• Analytical: Strong analytical skills to identify potential compliance risks and develop practical solutions.
• Attention to Details: a keen eye for detail to identify potential compliance issues and be proactive in resolving them.
• Leadership: strong leadership skills to effectively implement compliance programs and communicate the importance of compliance to employees and other stakeholders.
• Ability to work as a team: Able to work collaboratively with other departments and stakeholders to ensure compliance across the organization.
• Integrity: Must be ethical and honest, ensuring that NCCHCA and CMHN adhere to ethical and legal standards.

Essential Functions:

• Serves as the NCCHCA and CMHN compliance subject matter expert, leading the internal Compliance Committee and providing staff support for the Board Compliance Committees.
• Conducts periodic risk assessments; identifies potential areas of compliance vulnerability and risk; develops/implements corrective action plans for resolution of problematic issues and provides general guidance on how to avoid or deal with similar situations in the future; produces written reports based on audit and risk assessment findings and remediation progress.
• Collaborates with Human Resources and other NCCHCA and CMHN departments to develop and maintain NCCHCA and CMHN’s Policies and Procedures.
• Partners with IT/security leadership to support privacy and security compliance requirements; escalates identified risks.
• Monitors NCCHCA and CMHN’s compliance with HIPAA privacy policies and procedures.
• Responds to alleged violations of rules, regulations, policies, and procedures by evaluating or recommending the initiation of investigative procedures. Acts as an independent reviewer to ensure that compliance issues/concerns within the organization are being appropriately investigated and resolved. 
• Monitors and coordinates compliance activities of the organizations. In conjunction with the Chief Executive Officer and/or VP of Risk Management & General Counsel, investigates/resolves difficult legal compliance issues.
• In conjunction with the Chief Executive Officer and/or VP of Risk Management & General Counsel, develops and implements disciplinary action plans to address recurring issues.
• Works with Human Resources and others as appropriate to develop and carry out an effective compliance training program including appropriate introductory training for new employees as well as ongoing training for all employees.  
• Reports compliance matters independently to the Chief Executive Officer and/or Board Compliance Committee as appropriate.
• Supports health center requests for guidance on compliance issues.
• Provides training and technical assistance to health centers in healthcare and corporate compliance.
• Performs other duties as assigned.

Physical Demands:

• Consistently working at desk in front of computer monitor, significant typing and data entry, majority of the day is spent indoors and sitting.

Work Environment:

• This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
• Level of noise typical for the work environment of this job is Moderate.
• Ability to work in a confined area.
• Ability to sit at a computer terminal for an extended period.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of the position.  All employees may have other duties assigned at any time.